Excelsior Home 1 Inc. in Detroit - Community Based Residential Treatment Facility, Mental Illness
Excelsior Home 1 Inc. - NPI 1891917191
Excelsior Home 1 Inc. is a Community Based Residential Treatment Facility, Mental Illness in Detroit, Michigan. Excelsior Home 1 Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Excelsior Home 1 Inc. is 1891917191. The last update date is 2007-08-15.
Excelsior Home 1 Inc.'s current location address is 129 Virginia Park, Detroit, Michigan. You can contact this provider via phone number 3138745594 and fax number 2482080024. The mailing address for Excelsior Home 1 Inc. is 129 Virginia Park, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Excelsior Home 1 Inc. |
|---|---|
| Address | 129 Virginia Park, Detroit, Michigan |
| Phone Number | 3138745594 |
| Fax Number | 2482080024 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Davis Kathleen |
| Telephone Number | 3138745404 |
NPI Number Detail
| NPI Number | 1891917191 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-08-15 |
Provider Mailing Address Detail
| Address | 129 Virginia Park |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 48202 |
| Phone Number | 3138745594 |
| Fax Number | 2482080024 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Excelsior Home 1 Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Excelsior Home 1 Inc. has been assigned the NPI (National Provider Identifier) 1891917191. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Excelsior Home 1 Inc.?
The Excelsior Home 1 Inc. is physically situated at 129 Virginia Park, in the city of Detroit, state of MI, with the postal code 48202.
What is Excelsior Home 1 Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Excelsior Home 1 Inc. is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 320800000X.
On what date did the Excelsior Home 1 Inc. receive the assignment of its 1891917191 from the Centers for Medicare & Medicaid Services?
The Excelsior Home 1 Inc. was issued its 1891917191 by the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the information pertaining to Excelsior Home 1 Inc. most recently updated or revised?
The details related to Excelsior Home 1 Inc., including its address, specialty, and other relevant information, were last updated or revised on 2007-08-15.